71197c08c.800

Acute Myocardial Infarction

(b) Sudden Severe Pain Pressure Discomfort

c) Unrelieved by TNG and Rest

71197c08c.800 substernal chest pain burning esophagus heart cardiac esophagitis reflux retrosternal chest pain radiating to neck and left arm unrelieved by rest and sublingual nitroglycerine myocardial infarction time hours CTscan 3D Davidof art Courtesy Ashley Davidofff MD